Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.45 / $37.31 / $145.63	Facility		$32.45	$37.31	$145.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $23.00 / $32.45	Professional		$16.89	$23.00	$32.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $12.38 / $117.77	Professional		$12.38	$12.38	$117.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.97 / $64.23 / $98.54	Facility		$54.97	$64.23	$98.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $45.79 / $91.60	Professional		$15.65	$45.79	$91.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.17 / $24.96 / $43.93	Facility		$17.17	$24.96	$43.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $24.96 / $48.00	Facility		$18.01	$24.96	$48.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $17.26 / $184.46	Professional		$10.51	$17.26	$184.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $93.65	Professional		$50.00	$65.00	$93.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $24.96 / $43.93	Facility		$17.54	$24.96	$43.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $59.59 / $90.95	Professional		$37.79	$59.59	$90.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.32 / $125.21 / $125.21	Facility		$31.32	$125.21	$125.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $143.85 / $184.46	Professional		$15.90	$143.85	$184.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $100.63 / $100.63 / $100.63	Professional		$100.63	$100.63	$100.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.53 / $100.63 / $100.63	Professional		$97.53	$100.63	$100.63
United Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $17.26 / $40.28	Professional		$10.51	$17.26	$40.28